Document Detail


Ectopic pregnancy following in vitro fertilisation and embryo transfer.
MedLine Citation:
PMID:  21089024     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
BACKGROUND: ectopic pregnancy is one of the recognised complications of in vitro fertilisation (IVF) and embryo transfer.
OBJECTIVE: to review cases of ectopic pregnancy following IVF at a fertility unit, with the aim of raising awareness towards its increased incidence and pattern of presentation.
METHODS: case records of patients who had ectopic pregnancy following IVF over a three-year-period (July 2005-June 2008) were retrieved from the medical records department. Data including age, parity, risk factors for ectopic pregnancy as well as management modality were extracted and analysed.
RESULTS: There were 64 clinical pregnancies during the study period. Of these, five were ectopic pregnancies, given a frequency of 7.8%. The minimum number of embryos transferred was two and maximum four. All the five cases had easy embryo transfer. There was one case of heterotopic pregnancy. Two (40%) patients had previous ectopic pregnancies with one having a third ectopic pregnancy despite previous bilateral salpingectomies. Four (80%) of the five cases had laparotomy done. Three (60%) cases had ruptured ectopic pregnancies. One case was managed conservatively with methotrexate.
CONCLUSION: ectopic pregnancy can present following IVF procedures. A high index of suspicion is necessary even in cases with previous bilateral salpingectomies or easy embryo transfer.
Authors:
J E Okohue; J I Ikimalo; O B Omoregie
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  West African journal of medicine     Volume:  29     ISSN:  0189-160X     ISO Abbreviation:  West Afr J Med     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-11-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301891     Medline TA:  West Afr J Med     Country:  Nigeria    
Other Details:
Languages:  eng     Pagination:  349-51     Citation Subset:  IM    
Affiliation:
Port Harcourt Fertility centre at Prime Medical Consultants. Number 4 Prime close Rumuogba, Port Harcourt Rivers State, Nigeria. judosca@yahoo.com
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